AGNES BERGMAN
ActiveDetails
Basic Information
| Patient Record Number: | BA131652 |
| Date of Birth: | 05/16/1934 |
| Age: | 91 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
Contact Information
| Mobile Phone: | (773) 504-3858 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | 11/04/2025 |
Address Information
4550 N Clarendon Ave
Apt 2606N
Chicago, IL 60640 Coordinates: 41.96498160000001, -87.6502635
Apt 2606N
Chicago, IL 60640 Coordinates: 41.96498160000001, -87.6502635
Home Health Nurse
No Home Health Nurse assigned
Medicare Part B Deductible
Current Year (2025)
| Total Deductible: | $257.00 |
| Remaining: | $0.00 ✓ Deductible Met |
Annual Wellness Visit
Overdue
(16 days ago)
(16 days ago)
| Next Due Date: | 12/01/2025 |
Appointments
Certifications
No certifications found
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient